• 한국정보전자통신기술학회논문지
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• 제16권5호
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• pp.338-346
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• 2023

등척성 팔굽 굽힘시 전완길이(florearm length)는 전완에 가해진 힘의 방향이 직각일 때 관절토크 뿐만 아니라 최대근지구력시간(maximum endurance time: MET)을 결정하는 중요한 요소이다. 본 연구의 목표는 전완의 등척성 수축시 MET의 대표적인 두 가지 실증적 모델인 지수모델과 거듭제곱모델에 전완길이를 추가요소로 적용했을 때 미치는 영향을 검토하는 것이다. 30명의 자원자가 실험에 참여하였으며, 요소변수로 사용할 참여자의 상완 및 전완의 둘레 및 길이들과 최대자율수축강도의 백분율(percent of maximum voluntary contraction intensity: %MVC)에 따른 MET를 측정하였다. 실험과정에서 ln(MET)의 다중선형회귀모델에서 유의확률을 산츨한 결과 %MVC와 전완길이가 유의한 독립변수임을 확인하였다 (P<0.05). 또한, 측정 MET와 기존의 두 가지 실증적 모델들 사이의 평균절대편차는 19.4초 였으나 전완길이를 적용한 모델을 이용한 경우 16.2초로 감소하였으며, 상관계수과 급내상관계수는 모두 평균 0.87 이었으나 전완길이를 적용했을 때 평균 0.91로 모두 증가하였다. 실험결과로부터 전완의 길이가 실증적 모델에 유의한 추가 요소임을 확인하였다.

• 한국의류학회지
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• 제19권5호
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• pp.826-841
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• 1995

This study is concerned with the functional utility of movement in sleeve from an ergonomic viewpoint. Experiments were carried out which include 43 upper extremity segments, 21 motions and 35 female subjects. The major conclusions of the study are. 1. The expansion rate of upper extremity was higher in length than in circumference mesurements. The amounts of expansion were, especially high (more than 60mm) for inner arm length, axillary arm circumference, and outer arm length. Therefore, a lot of ease is necessary for these parts. On the other hand, armhole circumference, forearm circumference, and wrist circumference had low rates of expansion. The sleeve cap length was also contracted in all motions. 2. The expansion rate and the range of expansion and contraction were higher in the upper arm than in the forearm. The main points of expansion were the axillary and elbow parts. The segment of maximum expansi (rate of 44.8%) was Iii of axillary parts. As the body surface expands mainly in some segments, it is desirable to allow ease to the main segments of expansion. 3. In a basic sleeve, necessary ease was lacking in the measurements for outer arm length and axillary arm circumference, while it was too large in armhole circumference, forearm circumference, wrist circumference, and sleeve cap length. Therefore, a basic sleeve is inadequate as a functional sleeve for hard work in point of functional utility of movement. Wider application of these findings would lead to an improvement in the comfort of workers.

• Archives of Reconstructive Microsurgery
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• 제7권2호
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• pp.122-128
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• 1998

Radial forearm flap is one of the most useful skin flap in hand reconstructuion with distally based reverse pedicled or free vascularized fashion. Athors modified that flap into reverse pedicled and free vascularized flap which has advantages of both methods. The modification composed with harvesting flap on recipient side distal forearm just as free flap, than apply it as reverse distal pedicled flap fashion with microvascular anastomosis with distal vascular stump of donor radial vessels. We underwent this method in 5 cases in finger reconstruction from 1996, all of the cases had sucessful results. The advantages of this method are: 1. Thin flap which is compatible to finger skin can harvest from distal forearm with very long vascular pedicle that can be passed under the subcutaneous tunnel which avoid additional skin incisions on the hand. 2. The vessels of donor site and recipient site are same vessel in effected side of forearm, which can preserve contralateral side forearm and hand keep intact. 3. The flap can cover the defects on distal portion of the fingers which is difficult in conventional reversed radial forearm pedicled flap because of limited mobilization of flap due to limitation of pedicle length reach to tip of the fingers.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.80-86
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• 1997

The lateral arm flap was reported first by Song et al. in 1982, and Katsaros and colleagues described an anatomic study and clinical cases in 1984. This flap is thin, has relatively constant vascular anatomy, and provides relatively acceptable scar at the donor site. Despite its many advantages its wide application has been limited by its short vascular pedicle with small diameter of lumen, and its small skin paddle. We studied its anatomical structure to get longer length of vascular pedicle, wide diameter and thinner part of flap beyond the lateral condyle through 6 fresh cadaver dissection and dye injection study. We experienced 21 cases of lateral arm free flaps and 26 cases of forearm free flaps from May, 1992 to January, 1996. We compared its usefulness with forearm free flaps in the aspects of donor morbidity, operative factors, quality of flap, and versatility. In conclusion, lateral arm flap can replace the role of forearm flap in most cases so that patient's donor morbidity can be reduced especially in the women.

• 대한골관절종양학회지
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• 제1권1호
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• pp.60-67
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• 1995

It is difficult to manage the growing deformity of forearm bone caused by hereditary osteochondromatosis in children, because deformity and discrepancy of limb length is progressive. The are many treatment methods of these problems including excisio of osteochondroma, lengthening of ulna, shortening of radius, corrective osteotomy with or without lengthening apparatus. Among many treatment methods, we tried free vascularized epiphyseal transplantation with the proximal fibular epiphysis in 3 patients of hereditary osteochondromatosis for inducement of continuous bone growth and deformity correction. The average duration of follow up was 7 years and 1 month, the shortest duration being to 4 years and 5 months and the longest 10 years and 8 months. Serial radiologic and clinical evaluation were carried out during follow up and there were satisfactory length gain, deformity correction and improvement of adjacent joint motion in 2 cases. According to our follow up evaluation, free vascularized epiphyseal transplantation is valuable procedure in forearm deformity of hereditary osteochondromatosis although it needs skillful and experienced operative technique.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.448-452
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• 2022

Total reconstruction of the penis (TPR) represents a challenge for urologists and plastic surgeons, especially when urethral length is severely reduced. We here describe, for the first time in an oncologic scenario, a double flap phalloplasty using a pedicled anterolateral thigh (ALT) flap for penile reconstruction and a radial forearm free flap (RFFF) for complete neourethra and glans reconstruction following penile amputation. A 48-year-old patient came to our department following a total penectomy with inferior urethral derivation. The indication for a double flap phalloplasty was posed as only way to fully reconstruct the urethra on its length avoiding possible complications of single flap reconstruction using tube-into-tube technique. Both flaps healed uneventfully with no neourethral strictures or fistulas described. At 18 months follow-up, the patient was extremely satisfied with the aesthetic result and was able to void in standing position. We think that a double free tissue transfer for TPR should be considered, particularly when a urethral length > 14 cm needs to be reconstructed. While the pedicled ALT can be used to reconstruct a proper penile shaft with an easily concealed scar, the RFFF can provide adequate neourethra length with satisfactory sensory recovery at the neoglans.

• Journal of Oral Medicine and Pain
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• 제8권1호
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• pp.5-31
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• 1983

Author studied the changes of experimental bite marks using a special apparatus which was equipped with adults human resin dental model(in accordance with the time elapsed). The experimental bite marks were made in the forearm of 20 healthy men and in the buttock of 10 Durac pigs with various pressure. In making the experimental bite marks, the left forearm was pressed with a load of 70kgs and 130kgs for 3 seconds, and 5 of the 10 pigs were sacrigiced immediately after making the bite marks. Through visual examinations, photographs and rubber base impressions of bite marks, following results were obtained : 1. The durations of measurable indentation of the experimental bite marks in the forearm of living human subject were depended upon the degree of the pressure and the length of the pressure time applied in making the bite marks. 2. As a physiological responds to a physical stimulus of biting, indentation, bruising, edema and subepithelial bleeding were observed in the experimental bite marks in the forearm of living human. And the experimental bite marks in the buttok of pigs which were sacrificed immediately after making the bite showed only indentation and subepithelial bleeding in addition to postmortem changes. 3. The duration of measurable indentation of the experimental bite marks in the buttock of pigs which were sacrificed immediatly after making the bite were much longer than those of the living pigs. 4. All of the measurements of the experimental bite marks were not matched completly with those of the model which was used in making the bite marks.

• Archives of Reconstructive Microsurgery
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• 제10권2호
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• pp.81-85
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• 2001

In the treatment of urethral stricture, many problems still remain with the current methods making it a field of further exploration for reconstructive surgeon. Furthermore, when total or multiple strictures of the penile urethra exist, the methods of surgery become difficult due to a necessity for a long neourethra. Introduction of vascularized free flap has broadened the choice and improved the results of reconstruction for the urethra. The authors used a sensate ulnar forearm free flap in a patient with multiple penile urethral strictures for reconstruction. Uroflowmetry, 30 months after surgery, revealed that maximal flow rate was 15.5 ml/sec, average flow rate was 9.5 ml/sec, and voided volume was 157 ml. A urethrogram was performed 30 months postoperatively and a good result was achieved. The ulnar forearm free flap used by the authors are thin and pliable and is good for providing sufficient length to reconstruct the neourethra for a long urethral defect.

• Archives of Reconstructive Microsurgery
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• 제7권1호
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• pp.28-34
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• 1998

The traditionally useful coverage methods of the wrist and hand soft tissue defect are the chinese forearm flap, the ulnar forearm flap. But, this flaps are inevitably sacrifice major vessel to the hand. Advantages of the posterior interosseous artery island flap(PIA Flap) is no need to sacrifice blood supply to the hand and supply relatively large thin, good quality flap and more cosmetic than other forearm flaps. But, it is difficult to dissect and raise because of deep seat, close relation with the posterior interosseous nerve and anatomic variation. Authors evaluated 8 cases of 7 patients in the department of orthopaedic surgery, college of medicine, Hallym University from January, 1993 to December, 1995. The results are as follows: 1. The satisfactory coverage was achieved 7 cases and 1 case failed because of anatomic variation. 2 The pedicle length is average 9cm and the flap size is variable from 3cm by 4cm to 5cm by 8cm. 3. The donor site defect was repaired by direct closure in 5 cases, remained 3 cases combined with skin graft. From our experience we conclude that the PIA flap is one of the useful coverage methods of the wrist and hand soft tissue defect.

• 대한화장품학회지
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• 제16권1호
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• pp.18-29
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• 1990

In this report, the variation of skin surface between before treatment and after treatment was investigated by skin image analyzer. The 30 volunteers were applied cream and lotion on the forearm Inside for 4 weeks, and the measurement parameter of skirl surface was adopted peak, length, height, and width. The results were as follows ; 1. variation trends of parameters was showed that number of peaks were increased, but length, height and width were decreased. 2. The order of improvement for skin surface are as follow ; height > length > peak > width. 3. And also disclosed that the number of peak has a correlation with width, and length has a correlation with height.